Rivera, Iraida

Rivera, Iraida is an individual health care provider with primary practice located at 3333 Chanate Rd , Santa Rosa CA 95404-1707. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rivera, Iraida can be contacted via phone (707) 565-4935.

Contact Information

Primary practice address
3333 Chanate Rd Santa Rosa CA 95404-1707
Phone: (707) 565-4935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 796084 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95008058 California

Profile Details

NPI number 1730447970
LBN Legal business name Rivera, Iraida
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Dec 18th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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